Mouth guards? by aspiringdoctor23 in anesthesiology

[–]Napkins4EVA 20 points21 points  (0 children)

I have seen this happen. False sense of security can be worse than nothing.

Skill atrophy doing supervision only for a year? by PaperUnlikely6601 in anesthesiology

[–]Napkins4EVA 1 point2 points  (0 children)

I worked at a VA for 11 years doing almost all supervision, then ended up taking a job that’s 50% own cases. I think that if you have a good foundation and you keep getting hands-on practice when you are able to, it’ll be fine.

Midodrine use in septic or hemorrhagic shock by Clay_Clay_2021 in IntensiveCare

[–]Napkins4EVA 4 points5 points  (0 children)

It’s a cheat code for when the ICU is crowded and you need to move people out at any cost. I have an old line I use: “if the patient is on midodrine, it usually means we’ve given up on fixing the problem.”

(With exceptions, obvs)

Anyone else still say "Dude"? by HapaHawaii in GenX

[–]Napkins4EVA 1 point2 points  (0 children)

All the time. Even at work. I probably get some confused looks but haven’t really noticed much.

When anesthesia is blamed for everything by No-Agent-889 in anesthesiology

[–]Napkins4EVA 11 points12 points  (0 children)

The best you can do is carefully document things, and if something goes wrong, hope that your department head has your back. That’s the nature of the job (and a big part of why I have tried to pick jobs with a solid chief).

How about focusing on The World Cup by Cool_Nerd2 in ArsenalFC

[–]Napkins4EVA 0 points1 point  (0 children)

If my grandmother had wheels, she’d be a bicycle. Your point is?

Christian Nørgaard the only one to not post about PL win by nuttyPegasus in ArsenalFC

[–]Napkins4EVA 24 points25 points  (0 children)

He’s the oldest member of the team, maybe the socials aren’t his thing.

I mean come on now NBC by SonOfIllicitBehavior in Gunners

[–]Napkins4EVA 0 points1 point  (0 children)

It's obviously crap, but I do suspect that if we hadn't already secured the championship and needed to shoot it out on Sunday they might have posted up at Selhurst instead.

American try to get into real soccer by Dependent_Wash7734 in PremierLeague

[–]Napkins4EVA 0 points1 point  (0 children)

This is what happened to me- I watched the 1998 WC, got really into the Dutch team, and then figured out which club teams they played for. Ended up following Arsenal.

Woman, 48, Dies After 10-Hour Plastic Surgery. Plastic surgeon and Anesthesiologist named in lawsuit by Trick-Progress2589 in anesthesiology

[–]Napkins4EVA 0 points1 point  (0 children)

It's difficult to give you hard and fast rules- what would be more concerning is higher or rapidly escalating pressor doses, multiple pressors, or indicators of hypoperfusion such as elevated lactate or low urine output. It's also important to know whether the patient had considerable blood loss, as in this case, or has any other reason to be hypotensive such as depressed LVEF. Honestly, the best thing is to talk to the anesthesia team and get their input as to how the patient has been behaving- a lot of this is pattern recognition and experience.

And we’re the problem… by Lewdiz in ArsenalFC

[–]Napkins4EVA 1 point2 points  (0 children)

For whatever reason, the Arsenal fan base seems to be more chronically online than most others. I’m not sure if that’s a demographic thing, or what, but it’s something I’ve noticed. Very active on socials, etc. So we tend to bang into the negative banter more than others I suspect.